contract management

Transform Financial Performance with Actuarial Intelligence

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Build predictable revenue models, strengthen contract negotiations, and maximize financial performance in value-based care.
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Design VBC Contracts With Precision

Maximize revenue predictability
Design optimal risk-bearing contracts and predict financial outcomes through world-class actuarial expertise and analytics
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Reduce
financial risk
Protect your margins by utilizing benchmarking data and predictive analytics to identify optimal contract terms and network configurations.
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Accelerate VBC
Success
Achieve faster ROI in value-based arrangements through precise cost/utilization forecasting and proactive performance monitoring.
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Transform your quality programs
The Healthcare Intelligence Cloud enables both providers and payers to improve quality performance and deliver better care to patients.
For Providers
Seamlessly integrate risk adjustment into clinical workflows with point-of-care tools that surface suspected conditions, documentation gaps, and clinical evidence.
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For Life Sciences
Seamlessly integrate risk adjustment into clinical workflows with point-of-care tools that surface suspected conditions, documentation gaps, and clinical evidence.
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For Payer
Transform your risk adjustment performance with AI-powered analytics that drive both prospective and retrospective programs.
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For providers

Build predictable revenue models

Cost-Effective Actuarial Services

Accurately assess risk, model contracts, and optimize financial performance

Advanced Financial Modeling

Leverage sophisticated modeling capabilities to evaluate and optimize value-based care contracts

Performance Optimization

Utilize comprehensive benchmarking and analytics to maximize financial outcomes

For life sciences

Improve sales and marketing ROI

Market Access Analytics

Make data-driven decisions with insights derived from our comprehensive Medicare and Medicaid datasets.

Comprehensive HEOR Support

Access specialized analytics for health economics and outcomes research.

Custom Research Solutions

Get tailored analytics from our team of actuarial experts to achieve your strategic priorities

For payers

Track and improve provider performance

Unmatched Data Access

Access granular insights at the claim line and beneficiary level across all 50 states.

Enhanced Benchmarking

Make informed decisions with detailed benchmarks across costs, utilization, quality metrics, and outcomes at both regional and national levels.

Strategic Network Insights

Optimize network design and performance with custom analytics and actuarial modeling.

OUR CUSTOMERS

Delivering strong financial outcomes.

60M

Medicare members
‍

23%

improvement in ACO reach performance

Propensity scoring is a critical tool for healthcare marketers to target specific patient audiences with content that will convert. UCHealth leverages our AI-powered propensity scoring with incredible results. Learn how to implement propensity scoring to generate more engagement, appointments scheduled, and revenue.

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79%
increase in patient engagement
1.8x
more likely to schedule
4.8%
conversion rate

Banner Health is one of the nation's largest payer-provider organizations, managing 1.4M patients in value-based arrangements across Arizona and Colorado. Banner partnered with Innovaccer to integrate data from disparate sources, surface insights at the point of care, and create a system wide strategy for succeeding in value-based care.

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18%
care gap closure rate
1.4M
lives covered by value-based care
$4M
saved through vendor consolidation

Commonspirit Health uses Innovaccer to aggregate and normalize claims data directly from payers and regional instances to create an All-Payer Value-Based Claims Solution. CommonSpirit leverages this platform to deliver actionable clinical, operational, and financial insights to regional Value Hubs.

Read the annual report
1.9M
value-based lives managed in Innovaccer
9
disparate systems being replaced by Innovaccer
16
states included in Innovaccer deployment

An integral part of the value-based care suite

Risk adjustment

Transform your risk adjustment program with intelligent workflows and real-time insights that improve coding accuracy and patient outcomes.
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Quality management

Align payers, providers, pharmacies, and members to drive measurable improvements in quality performance.
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Care Management

Innovaccer's Care Management Copilot uses advanced AI to automate documentation, generate care insights, and predict patient risk.
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Population Health Analytics

Population Health Analytics leverages the full power of the Data Activation Platform to deliver actionable insights that drive performance in value-based care.
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Frequently Asked Questions

What makes our contract management system unique?

Our solution stands out by combining unique access to national Medicare and Medicaid datasets with cost-effective actuarial services. Unlike competitors who offer either standalone HEOR dashboards or pure actuarial services, we provide an integrated solution that's substantially more cost-effective than traditional actuarial firms.

What data sources does Innovaccer have access to?

We have comprehensive access to Medicare data (Parts A, B, C, and D) from 2011-2024, T-MSIS Medicaid data for all 50 states, commercial claims data (2015-2024), and a detailed provider database. This data is available at the claim line and beneficiary level, covering over 60 million lives.

What types of financial modeling services do you offer?

Our actuarial experts build sophisticated financial models for projecting performance, profitability, and risk in value-based care arrangements. This includes MLR projections, premium revenue forecasting, utilization trends, and custom analytics tailored to your specific needs.

Who are your typical customers?

We serve three core markets: providers managing value-based care programs (like Rise Health's ACO REACH program), regional health plans (such as CareFirst BCBS), and life sciences companies requiring specialized analytics and HEOR studies.

What specialized analytics do you provide?

We offer episode-based cost and utilization benchmarks, provider performance management analytics, patient acuity models, and custom analytics tailored to specific business challenges such as risk stratification and pharmacy trend analysis.

How do you support regulatory compliance?

Our actuarial experts have deep knowledge of healthcare regulations, quality metrics, and reporting requirements, including HEDIS and CMS Star Ratings. We ensure all analytics, models, and strategies comply with industry standards and requirements.

What consulting services do you provide?

Beyond analytics, our actuarial team provides strategic consulting and decision support for network design, value-based contracts, and benefit plan changes. We help interpret insights and guide data-driven decision-making.

How do you support life sciences organizations?

We provide specialized analytics for pharmaceutical and biotech companies, including health economics and outcomes research (HEOR), market access analytics, and strategic insights derived from our comprehensive Medicare and Medicaid datasets.

Learn how to unlock the full potential of your healthcare data

whitepaper

Innovaccer’s Data Activation Platform: What Makes it the Best in KLAS Data and Analytics Platform

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whitepaper

Five Reasons Why the Modern Payer Needs a Data Activation Platform

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